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Upper endoscopy (EGD) with biopsy in Ohio: what insurers pay

Posted commercial rates at 58 Ohio hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Paulding County Hospital Paulding$5420.6×32025-11-01
East Liverpool City Hospital East Liverpool$9141.1×32026-09-01
Coshocton Regional Medical Center Coshocton$9141.1×32026-09-01
Akron Children'S Hospital Akron$1,0841.3×12025-11-11
Nationwide Children'S Hospital Columbus$1,0941.3×12026-04-01
Fisher-Titus Hospital Norwalk$1,3221.5×42026-04-29
Union Hospital Dover$1,7682.1×42026-06-15
University Hospitals Samaritan Medical Center Ashland$1,7862.1×12026-07-14
University Hospitals Cleveland Medical Center Cleveland$1,7862.1×22026-07-14
Adena Fayette Medical Center Washington Ch$1,8532.2×12026-08-19
Medina Hospital Medina$1,9712.3×72026-06-15
Summa Health System Akron$2,0082.3×92026-04-01
Adena Regional Medical Center Chillicothe$2,0572.4×42026-08-19
University Hospitals St. John Medical Center Westlake$2,0682.4×62026-07-14
Summa Western Reserve Hospital Cuyahoga Falls$2,0982.5×52026-01-01
Marietta Memorial Hospital Marietta$2,1452.5×12026-10-01
Pomerene Hospital Millersburg$2,1452.5×32026-03-24
Akron General Medical Center Akron$2,1612.5×52026-06-15
MetroHealth System Cleveland$2,2222.6×82026-04-01
Adena Pike Medical Center Waverly$2,2592.6×22026-08-19
Bethesda North Cincinnati$2,2702.6×42026-04-01
Mccullough-Hyde Memorial Hospital Oxford$2,2862.6×72026-04-01
Good Samaritan Hospital Cincinnati$2,2862.6×72026-04-01
University Hospitals Conneaut Medical Center Conneaut$2,3762.8×42026-07-14
Nationwide Children'S Hospital Toledo, Llc Toledo$2,3942.8×42026-04-01
West Chester Hospital, Llc West Chester$2,4622.8×42026-07-01
Cleveland Clinic Fairview Hospital Cleveland$2,4822.9×62026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$2,4822.9×62026-06-15
Hocking Valley Community Hospital Logan$2,4852.8×52026-07-31
Lima Memorial Health System Lima$2,5102.9×22026-04-01
University Hospitals - Elyria Medical Center Elyria$2,5252.9×52026-07-14
University Hospitals Portage Medical Center Ravenna$2,5623.0×52026-07-14
Parma Community General Hospital Parma$2,5963.0×42026-07-14
University Of Cincinnati Medical Center, Llc Cincinnati$2,6283.0×52026-07-01
Mount Carmel Dublin Dublin$2,8383.2×102026-03-31
University Hospitals Ahuja Medical Center Beachwood$2,9323.4×62026-07-14
Aultman Hospital Canton$3,0253.5×42026-04-01
Euclid Hospital Euclid$3,0293.5×62026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,0293.5×62026-06-15
Marymount Hospital Garfield Heights$3,0293.5×62026-06-15
South Pointe Hospital Warrensville Heights$3,0293.5×62026-06-15
Alliance Community Hospital Alliance$3,0983.6×12026-04-01
Aultman Orrville Hospital Orrville$3,0983.6×12026-04-01
Salem Regional Medical Center Salem$3,4864.1×22026-04-01
Cleveland Clinic (main campus) Cleveland$3,5284.1×72026-06-16
Miami Valley Hospital Dayton$3,6524.1×22026-04-01
Atrium Medical Center Franklin$3,6554.1×22026-04-01
Wilson Memorial Hospital Sidney$3,6644.3×22026-09-27
Upper Valley Medical Center Troy$3,6764.1×22026-04-01
Mercy Medical Center Canton$3,6864.3×62026-06-15
Kettering Health Dayton Dayton$3,9544.5×42026-04-01
Soin Medical Center Beaver Creek$3,9544.5×42026-04-01
Kettering Health Main Campus Kettering$3,9554.5×42026-04-01
Kettering Health Greene Memorial Xenia$3,9724.5×42026-04-01
Kettering Health Troy Troy$3,9724.5×42026-04-01
Kettering Health Miamisburg Miamisburg$3,9864.5×42026-04-01
Highland District Hospital Hillsboro$4,6715.4×12026-03-27
Mount Carmel East Columbus$6,9027.9×252026-03-31

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Ohio?

58 Ohio hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 58 hospitals is $2,498, 2.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.